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1 r is entirely decision dependent (i.e., post-decisional).
2 urgency) and delay components (pre- and post-decisional).
3 responses are neither entirely pre- nor post-decisional.
4 , the tool underwent validated assessment of decisional acceptability, decisional conflict, and decis
6 keholders, a QPL was created to address core decisional and informational needs of surgical patients.
8 e, we report three new lines of evidence for decisional and postdecisional mechanisms arguing for the
10 al decision support can better standardize a decisional approach and also allow a unique degree of pe
13 effort to provide patients with appropriate decisional authority over their own medical choices, sha
14 h while limiting patients' end of life (EOL) decisional authority through advance directives or surro
17 ocity, prevent prejudice, donor safety net), decisional autonomy (body ownership, right to know, vali
18 67), we find that advisers who give advisees decisional autonomy rather than offering paternalistic a
19 tients and advisees in general react to full decisional autonomy when making difficult decisions unde
21 included review of goals, tailored feedback, decisional balance exercise, role plays, and referrals.
25 r associated with activation of language and decisional brain areas during false recognitions of low-
26 ination) was generally the best predictor of decisional capacity (particularly in the understanding c
28 irical investigations have directly compared decisional capacity among patients with a serious mental
29 e research is needed on methods of enhancing decisional capacity among those with impaired competence
30 considered limiting life-support who lacked decisional capacity and a legally recognized surrogate d
31 so, as requirements for formal assessment of decisional capacity are becoming more common, there is a
32 ymptoms shown to be associated with impaired decisional capacity are not unique to schizophrenia and
33 to identify those needing more comprehensive decisional capacity assessment and/or remediation effort
34 earch participants who warrant more thorough decisional capacity assessment and/or remediation effort
40 tical measures for screening and documenting decisional capacity in people participating in different
46 underscore the importance of considering how decisional capacity will be assessed in all types of res
47 r hospitalized incarcerated patients lacking decisional capacity, admissions of these patients genera
54 al (auditory and visual stimulus locations), decisional (causal inference), and motor response dimens
56 recalibration relies on distinct spatial and decisional codes that are expressed with opposite gradie
57 y processing hierarchy multiplex spatial and decisional codes to adapt flexibly to the changing senso
58 ticipants, with longitudinal improvements in decisional comfort and overall HRQOL over time and minim
67 treatment (the primary outcome), as well as decisional conflict (a secondary outcome), were measured
68 's depression and stress predicted their own decisional conflict (actor effects), as well as their pa
69 .35 to 2.09; P<0.001), and reduced patients' decisional conflict (adjusted mean difference -6.3 (95%
70 Importantly, SDM was associated with less decisional conflict (B=-0.66, R(2)=0.567, P<0.01) and de
72 ive symptoms were related to greater patient decisional conflict (beta=0.16; P<0.05), whereas caregiv
74 (d, -0.01; lower bound 97.5% CI, -0.06), and decisional conflict (d, -0.12; upper bound 97.5% CI, 2.0
77 interval, 3.20-14.78), and experienced less decisional conflict (mean difference = -5.04; 95% confid
80 more likely to know their risk, and had less decisional conflict along with greater involvement in SD
81 management, there was a slight reduction in decisional conflict and an improvement in HbA1c levels w
83 for decision making, as well as with greater decisional conflict and distress, even after adjustment
84 rgoing coronary angiogram procedures reduces decisional conflict and improves value congruence and th
85 also suggested that decision aids decreased decisional conflict and increased satisfaction with the
86 hypothesized that the co-primary outcomes of decisional conflict and informed choice regarding immuno
88 e were no partner effects identified between decisional conflict and perceived stress or depressive s
89 families of patients deemed at high risk for decisional conflict and provided feedback to the clinica
90 ledge about testing, risk comprehension, and decisional conflict and regret at 24 to 36 weeks' gestat
93 s more effective than usual care in reducing decisional conflict for choice of immunosuppressive medi
95 ived stress significantly predicting greater decisional conflict in both patients and caregivers.
96 at the COVID-19 pandemic was associated with decisional conflict in patients undergoing otolaryngolog
97 cision aid (DA) on the medical knowledge and decisional conflict in patients with early-stage PTC con
98 eparation for decision making, distress, and decisional conflict in separate models, controlling for
102 related knowledge and decisional confidence (decisional conflict scale (DCS)) were assessed as well a
103 e counselor group had lower mean scores on a decisional conflict scale (P =.04) and, in low-risk wome
104 tervention group had a significantly reduced decisional conflict scale compared with control (unadjus
105 ention patients felt better informed (median Decisional Conflict Scale informed subscore: 8 versus 17
107 utcome was preoperative decisional conflict (Decisional Conflict Scale); secondary outcomes included
108 assessments of decisional conflict using the Decisional Conflict Scale, depressive symptoms using the
113 16.9%] vs 55.6% [22.6%]; P < .001) and lower decisional conflict scores (mean [SD], 12.7 [16.6] vs 18
115 in the 5 decision quality measures (eg, mean decisional conflict scores were 17.2 and 17.5, respectiv
116 rvention surrogates had greater reduction in decisional conflict than control surrogates (mean differ
117 ent-caregiver dyads completed assessments of decisional conflict using the Decisional Conflict Scale,
118 vation, support and resources; (2) patients' decisional conflict varied substantially, driven by uncl
119 nted without bias for a "best choice." Lower decisional conflict was associated with caregiver-report
123 lidation, the group with the highest rate of decisional conflict was non-White patients with no colle
125 RAI treatment was significantly greater and decisional conflict was significantly reduced in the DA
127 ion aids improve patient knowledge and lower decisional conflict without raising anxiety levels, they
128 l and statistically significant reduction in decisional conflict, 21.8 (standard error [SE], 2.5) ver
131 ration to make a decision for testing, lower decisional conflict, and greater decisional self-efficac
132 ic groups as measured by knowledge transfer, decisional conflict, and patient involvement in SDM.
133 atus) on the outcomes of knowledge transfer, decisional conflict, and patient involvement in SDM.
135 ids (DAs) increase patient knowledge, reduce decisional conflict, and promote shared decision making
136 ences of surrogates (psychological distress, decisional conflict, and quality of communication) and p
137 mic medications, patient-reported medication decisional conflict, and satisfaction with antihyperglyc
138 Primary outcomes were patient knowledge and decisional conflict, and the secondary outcome was an ob
140 ddition, we documented effects on knowledge, decisional conflict, anxiety, quality of life, patient i
141 id, patient decision aid, or both) had lower decisional conflict, better shared decision making, and
142 There were no differences between groups in decisional conflict, decision process quality, shared de
146 e impact of PCI Choice on patient knowledge, decisional conflict, participation in decision-making, a
147 surrogate decision makers and often lead to decisional conflict, psychological distress, and treatme
148 A survey assessed knowledge, preferences, decisional conflict, shared decision-making, preferred t
151 or the effect of the patient decision aid on decisional conflict, which did not reach statistical sig
163 eported using a tailored approach to resolve decisional conflicts about life support and attempted to
164 eported using a tailored approach to resolve decisional conflicts about life support and attempted to
166 proach treatment decisions with a desire for decisional control, which may increase after their consu
168 he effects of expectation can also be due to decisional criterion shifts independent of any sensory c
171 : control preference roles reflect levels of decisional engagement; clinicians control information fl
177 rtainties for future research, and propose a decisional framework for clinicians to support prescript
178 and healthcare workers allows for real-time decisional guidance; however, its impact on neonatal hea
180 uthors examined the effects of cognitive and decisional impairment on willingness to participate in r
181 mer's disease group, the presence of greater decisional impairment tended to predict less willingness
182 ssion errors) on a Go/NoGo task and measured decisional impulsivity (delay discounting) using the Mon
187 ting impulsivity: R1 was not associated with decisional impulsivity on the MCQ or inhibitory control
188 nucleus is causally implicated in increasing decisional impulsivity with less accumulation of evidenc
189 impairments are observed across subtypes of decisional impulsivity, possibly reflecting uncertainty
190 le for the value-coding medial SN network in decisional impulsivity, while the salience-coding ventra
195 ase, as well as integration and weighting of decisional information, which is coupled to alpha phase
196 , there was a small difference in adolescent decisional involvement and vaccine-related confidence an
198 pharmacotherapy decision-making: (1) patient decisional needs included lack of awareness of a choice
199 ight the importance of addressing modifiable decisional needs of patients through enhanced shared dec
207 nd content of the system could be adapted to decisional participants' unique characteristics, abiliti
208 phasizing patient accountability, restricted decisional power, protecting unit interests), and entren
210 clinician is in a better position to assume decisional priority when a child probably can be cured.
211 s (and children, when appropriate) to assume decisional priority when there are two or more clinicall
212 why clinicians sometimes justifiably assume decisional priority when there is one best medical choic
215 ty responses could represent a higher-level, decisional process of cognitive monitoring, though that
218 ed that temporal expectations speeded up non-decisional processes but had no effect on decision forma
219 e LC in regulating the behavioral outcome of decisional processes contrasts with more traditional vie
223 al modelling to identify alterations in post-decisional processing that contribute to the phenomenon
224 ision aids can improve patient knowledge and decisional quality but are infrequently used in real-wor
227 risk = 1.7 [95% CI, 1.2 to 2.5]) and family decisional regret (144 participants; difference in means
228 ratio, 0.23; 95% CI, 0.06-0.86) and parental decisional regret (adjusted odds ratio, 0.42; 95% CI, 0.
229 ians was generally associated with decreased decisional regret (all ORs with 95% CIs greater than 1.1
230 l conflict (B=-0.66, R(2)=0.567, P<0.01) and decisional regret (B=-0.37, R(2)=0.180, P<0.001) and no
231 ssessed as well as one-month postoperatively decisional regret (decision regret scale (DRS)) and will
232 th 55.3% (n=99) reporting moderate to severe decisional regret (DRS [decisional regret scale]>=25).
233 -0.003; 95% CI, -0.03 to 0.03; P = .83) and decisional regret (effect size, 1.32; 95% CI, -3.77 to 6
234 mewhat useful and 50.3% (88/161) reported no decisional regret (median 0, mean 10, range 0-100).
235 = 0.30; 95% CI, 0.02-0.54; P = .05), greater decisional regret (r = -0.54; 95% CI, -0.67 to -0.38; P
236 ed survey instruments indicated low rates of decisional regret and high levels of satisfaction with d
237 ey were donor conceived reported the highest decisional regret and represented the largest proportion
239 ent, patient-centered decisions with reduced decisional regret and work-related stress experienced by
240 with low satisfaction with decision or high decisional regret due to the lack of variation in these
241 he validated SDMQ9, and (4) an assessment of decisional regret in relation to SDM components and the
242 ons between home time and QoL, function, and decisional regret in the survey data were analyzed using
243 e compromise outcomes and impose unnecessary decisional regret on clinicians and patients alike.
244 incorporated into the last decision, and (4) decisional regret related to their last treatment decisi
245 d SDMQ9 scale for shared decision-making and Decisional Regret Scale (DRS) was distributed using the
251 scale, with higher scores indicating higher decisional regret) and significantly increased over time
252 and 3 months after intervention, knowledge, decisional regret, and anxiety immediately after interve
253 literacy, contextual factors (acculturation, decisional regret, and satisfaction with informed consen
256 mbers assessed their psychological symptoms, decisional regret, patient functional outcome, and patie
264 ssociated with lower decisional conflict and decisional regret; and no difference in postdiagnosis ex
265 nsibility-relatives explain how they endorse decisional responsibility but do not experience it as a
266 on the patient, family members feel a strong decisional responsibility that is not experienced as a b
270 g to interpret clinical information, and (4) decisional roles and relationships with clinicians.
273 icipants using the heuristic showed combined decisional (selection) and skill (execution) advantages,
274 ecision-aid, noting good acceptability, high decisional self-efficacy (mean score 85.9/100) and low d
279 elies on supramodal confidence estimates and decisional signals that are shared across sensory modali
283 then how severely to react are two distinct decisional stages underpinned by different neurocognitiv
285 C identified a need for more information and decisional support during preoperative conversations tha
286 Findings highlight the need for targeted decisional support for PLWD as well as caregivers who fa
287 and feedback to clinical staff, computerized decisional support systems, and specialist-level pain co
288 y: emotional support; communication support; decisional support; and, if indicated, anticipatory grie
289 Impairments appear to be more specific to decisional than motor impulsivity, which might reflect d
290 M organization based on automated alerts and decisional trees enabled a focus on clinically relevant
291 For this purpose, we recommend the use of decisional trees, being the parameters under study those
293 ity patterns in frontoparietal cortices code decisional uncertainty consistent with these spatial tra
298 iarity, and prognostic uncertainty), seeking decisional validation (a familial obligation, alleviatin
299 ed, the mechanisms by which attention alters decisional weighting of sensory evidence (choice-bias co